CAMP SMILE ORTHODONTICS PLYMOUTH PLLC NPI 1194316646

NPI Information

  • NPI: 1194316646
  • Provider Name: CAMP SMILE ORTHODONTICS PLYMOUTH PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2805 CAMPUS DR STE 245
    PLYMOUTH, MN
    ZIP 55441
  • Phone: (763) 383-1788

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NPI Details

CAMP SMILE ORTHODONTICS PLYMOUTH PLLC is a dental clinic center in Plymouth, MN. CAMP SMILE ORTHODONTICS PLYMOUTH PLLC NPI is 1194316646. The provider is registered as an organization entity type.

The provider's business location address is:

2805 CAMPUS DR STE 245
PLYMOUTH, MN
ZIP 55441-678
Phone: (763) 383-1788

The provider's authorized official is Bobbi L Augustyn .
The authorized official title is Owner and has the following contact phone number (763) 383-1788.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 1/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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